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ST. CHARLES HEALTH SYSTEM

JOB DESCRIPTION

TITLE: Certified Nurse Midwife

REPORTS TO POSITION: SCMG Chief Medical Officer (or designee)

DEPARTMENT: SCMG Clinic

DATE LAST REVIEWED: 4/16/2021

OUR VISION: Creating America's healthiest community, together

OUR MISSION: In the spirit of love and compassion, better health, better care, better value

OUR VALUES: Accountability, Caring and Teamwork

DEPARTMENTAL SUMMARY:

The SCMG Center for Women's Health has a mix of physicians, certified nurse midwives, women's health nurse practitioners, and psychologist. The office provides full spectrum women's health services. We are the only primary CNM practice currently practicing through SCHS and providing certified midwifery care to a large central Oregon catchment area.

POSITION OVERVIEW:

Work schedule: Full time schedule includes three outpatient clinic shifts and either one 24-hour call shift or one outpatient clinic shift and two 24-hour call shifts per week. Midwife will work minimum of 30 hours per week in the clinic setting with 27 hours of patient contact time and a minimum of one day a week on call at the Bend hospital.

Call expectation: Family Birthing Center call will be equitably distributed throughout the year

Work location: Primary work location will be in Redmond for outpatient services. Midwives also participate in the rotation to our outreach locations in Prineville, Bend, Sisters and other locations as developed.

ESSENTIAL FUNCTIONS AND DUTIES: (May perform additional duties of similar complexity within SCHS as required or assigned)

Clinical Expectations:

• Practice and role model excellence in the care domains of diagnosis, aligning treatment goals to patient values, definitive treatment, supportive care treatment, follow-up care, promote good health, and prevent illness.
• Practice midwifery within the scope of license, training, and credentialing. Cooperate with other SCHS physicians and caregivers to ensure optimal patient care.
• Assess, plan, implement, and evaluate individual patient care while demonstrating expert knowledge of evidence-based, Obstetric and Gynecologic care.
• Collaborate with other members of the Obstetric and Gynecologic care interdisciplinary team and referring providers to ensure a world-class patient experience.
• Calculate dosages and administers medications accurately in accordance with SCHS policies and procedures for medication administration.
• Document all patient care in the proper form and in a timely manner in compliance with hospital policies and regulatory agencies.
• Deliver first rate customer service and patient care in a manner that promotes goodwill, and is timely, efficient, accurate, and courteous.
• Proportionately share in after-hours call with other CNMs.
• Keep midwifery knowledge and skills current through regular continuing education activity. Must attest to having obtained 60 hours of Category 1 continuing medical education (CME) relevant to the practitioner's current medical practice over the prior two-year work period
• Assists in obstetrical and/or gynecologic surgery with documentation of appropriate training.
• Admit patients, manage labor, and attend deliveries at St. Charles Medical Center Bend with CNM partners and OB Hospitalist back-up.
• Provide patient care, including prenatal care, at St. Charles Center for Women's Health locations.
• Schedule to include weekday, weekend, holiday, and night coverage.
• Full time schedule includes three outpatient clinic shifts and either one 24-hour call shift or one outpatient clinic shift and two 24-hour call shifts per week.
• Saturday, Sunday and holiday call will be equitably distributed throughout the year
• Perform physical exams, collect and documents data, manage labor and spontaneous delivery, conduct diagnostic and therapeutic procedures, order and schedules laboratory studies and professional consultations, and prescribe appropriate interventions and medications
• Collaborates with and acts as liaison among the nurse, patient, family, physician, and community resources for coordination of patient care
• Actively pursues knowledge and skills for professional development
• Active participant in High Risk OB meetings and OB Section meetings

Administrative Expectations:

• Document all patient care within the Electronic Medical Record (EMR) and complete all necessary tasks in compliance with health system policies and regulatory agencies to ensure timely and accurate billing.
• Be familiar with the SCHS organization structure.
• Participate in SCMG physicians meetings and assist in policy formation for SCMG and Physician's practice.
• Keep medical knowledge and skills current through regular CME activity. Must attest to having adequate (CME) to meet maintenance of board certification and compliance with MSO rules and continuing privileges without restriction.
• Keep all licenses and appropriate certifications current and unrestricted.
• Maintain active privileges at a St. Charles Health System hospital sufficient to permit performance of job duties.

Behavioral Expectations:

• Participates in creating a healing environment that supports all aspects of the care environment and the wholeness of each individual, patient and caregiver.
• Provides and maintains a safe environment for caregivers, patients and guests. Conducts all activities with the highest standards of professionalism and confidentiality.
• Delivers first-rate customer service and/or patient care in a manner that promotes goodwill, and is timely, efficient and accurate, and courteous.
• Educates, counsels, and assists patients and families regarding current health problems, health maintenance activities and preventive behaviors.
• Provide a therapeutic presence in service to others by purposefully responding to the needs of patients/customers in a caring way.
• This includes introducing oneself and stating your purpose, asking the patient their preferred name, spending time with the patient to determine their care goals, active listening, and using skillful communications (appropriate touch, eye contact, etc.).
• Complies with all applicable laws, regulations, policies and procedures, supporting the health system's corporate integrity efforts by acting in an ethical and appropriate manner, reporting known or suspected violations of applicable rules, and cooperating fully with all health system's investigations and proceedings.

EDUCATION

Required:

• Successful completion of a graduate level Nurse Midwifery program that is recognized and certified through the American College of Nurse-Midwives (ACNM).
• Complete annual fire/safety, etc. education in-services as required.
• Attend mandatory educational offerings as described in SCHS policies/procedures and/or as required by other regulatory bodies.
• Complete annual CME as required to maintain license and appropriate Board certification.
• Complete in a timely manner assigned Computer Based Learning modules.

LICENSURE/CERTIFICATION/REGISTRATION

Required:

• Unrestricted Federal DEA number registered in Oregon
• Unrestricted ability to participate in Medicare / Medicaid, or other federal or state governmental health care programs.
• Valid driver's license and the ability to meet SCHS driving requirements.
• Current BLS and NRP certification required.
• Additional certifications may be required based on privileges granted to provider by Medical Staff Services at SCHS Inpatient locations.
• Unrestricted Oregon APRN and RN license.
• Current CNM board certification from the American Midwifery Certification Board.

Required:

• Experience using EMR (Electronic Medical Records) software
• Advanced written and verbal communication skills to effectively interact with a diverse population and professionally represent St. Charles Health System
• Experience working in a team environment and proven ability to collaborate, manage facilitation and consensus building among health care professionals and agencies to achieve expected results

Preferred:

• Five years of clinical experience as a CNM.
• Epic EMR software experience
• Familiarity with the centering model of care/group prenatal care

PERSONAL PROTECTIVE EQUIPMENT

• Must be able to wear appropriate Personal Protective Equipment (PPE) required to perform the job safely.

GENERAL

• Must have excellent communication skills and ability to interact with a diverse population and professionally represent SCHS.
• Strong team working and collaborative skills.
• Ability to multi-task and work independently.
• Attention to detail.
• Excellent organizational skills, written and oral communication and customer service skills, particularly in dealing with stressful personal interactions.
• Intermediate to advanced proficiency with Electronic Medical Record systems.
• Intermediate in Microsoft applications (Word, Excel).

PHYSICAL REQUIREMENTS:

Continually (75% or more): Sitting, keyboard operation, use of clear and audible speaking voice and the ability to hear normal speech level.

Frequently (50%): Standing, lifting 1-10 pounds, grasping/squeezing.

Occasionally (25%): Bending, reaching overhead, carrying/pushing or pulling 1-10 pounds.

Rarely (10%): Walking, stooping/kneeling/crouching, climbing stairs.

Never (0%): Climbing ladder/step-stool, lifting/carrying/pushing or pulling 11-50 pounds, operation of a motor vehicle, ability to hear whispered speech level.

Exposure to Elemental Factors

Never (0%): Heat, cold, wet/slippery area, noise, dust, vibration, chemical solution, uneven surface.

Blood-Borne Pathogen (BBP) Exposure Category

Risk for Exposure to BBP

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